杵针疗法配合健康宣教在骨科卧床便秘患者中的临床护理效果

Clinical Nursing Effect of Pestle Needle Therapy Combined with Health Education in Orthopedic Bedridden Patients with Constipation

摘要: 目的：探讨杵针疗法联合系统化健康宣教对骨科卧床便秘患者的临床护理效果。方法：2024年1月~2025年1月，从我院骨科住院的卧床便秘患者中筛取70例，依随机数字表均分为对照组和观察组，每组35例。对照组实施规范化的常规护理，观察组在常规护理的基础上联合杵针疗法及结构化健康宣教进行干预。比较两组患者的便秘恢复情况(包括干预后首次排便时间、两次排便间隔时间及首次排便花费时间)、便秘主要症状评分及临床疗效。结果：干预后，观察组患者在首次排便时间、单次排便耗时及两次排便间隔方面均较对照组明显缩短，各项比较均存在显著差异(P < 0.05)。同时，观察组的便秘主要症状评分显著低于对照组(P < 0.05)。在治疗总有效率方面，观察组达到91.4%，明显高于对照组的62.9%，组间比较具有统计学意义(P < 0.05)。结论：杵针疗法配合系统化健康宣教能有效改善骨科卧床便秘患者的排便状况，缓解临床症状，并提升生活质量，作为一种复合型护理方案展现出良好的应用潜力，但其远期疗效有待更大样本研究进一步验证。

Abstract: Objective: To investigate the clinical nursing effect of pestle needle therapy combined with systematic health education on orthopedic bedridden patients with constipation. Methods: From January 2024 to January 2025, 70 patients with bedridden constipation in the Department of Orthopedics in our hospital were selected as the research object and randomly divided into a control group and an observation group, 35 cases in each group. The control group was treated with standardized routine nursing, while the observation group was treated with pestle needle therapy and structured health education on the basis of routine nursing. The recovery of constipation (including the first defecation time after the intervention, the interval between two defecations and the first defecation time required), the score of main symptoms of constipation and clinical efficacy were compared between the two groups. Results: After the intervention, the first defecation time, single defecation time and two defecation intervals of the observation group were significantly shorter than those of the control group, and there were significant differences between the two groups (P < 0.05). At the same time, the main symptom score of constipation in the observation group was significantly lower than that in the control group (P < 0.05). The total effective rate of the observation group was 91.4%, which was significantly higher than 62.9% of the control group, and the comparison between the two groups was statistically significant (P < 0.05). Conclusion: Pestle needle therapy combined with systematic health education can effectively improve the defecation status of orthopedic bedridden patients with constipation, relieve clinical symptoms, and improve the quality of life. As a compound nursing scheme, it shows good application potential, but its long-term efficacy needs to be further verified by larger sample research.